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. AUL FIRE AND MARINE INSURANCE APANY AR1918384
- {*%I SAINT PAUL,MINNESOTA
«E } A CAPITAI.STOCK COMPANY
Name Form Bond No...�QQ_EL' JS7.ld__
JAN% 1981 FIDELITY SCHEDULE BOND
4
GREEL.E't• GO1.0� With Automatic Coverage and Coverage of Losses Caused By Unidentified Employees
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DECLARATIONS
Item 1. Insured: (Designation of more than one party shall not increase the ,surety's liability beyond the amount
3 for which it would be liable had only one been designated and the one first designated shall be
deemed the authorized agent of the others).
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WELD COUNTY, COLORADO
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Item 2: Address:
Greeley, Colorado
Item 3. The Insured by the acceptance of this bond gives notice to the Surety terminating or canceling prior
bonds(s) No(s) Not Applicable
such termination or cancelation to be effective as of the time this bond becomes effective.
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SCHEDULE
?" '= Coverage of the employees named in this schedule commences on the 1st day of January 19 81 .
`?, '= NAME POSITION LOCATION Amount of Coverage
>- Norman Carlson County Commissioner Greeley, Colorado $25,000
" E Chuck Carlson County Commissioner Greeley, Colorado $25,000
Z John Martin County Commissioner Greeley, Colorado $25,000
Robert N. Miller District Attorney Greeley, Colorado $ 5,000
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Stanley C. Peek Asst. District Attorney Greeley, Colorado $ 5,000
Melvin Okamoto Deputy District Attorney Greeley, Colorado $ 5,000
4 — Kenneth R. Storck Deputy District Attorney Greeley, Colorado $ 5,000
Patrick T. Murphy Deputy District Attorney Greeley, Colorado $ 5,000
Thomas G. Hanselmann Deputy District Attorney Greeley, Colorado $ 5,000
Linda Kaufman Deputy District Attorney Greeley, Colorado $ 5,000
William G. Pharo Chief Trial District Attorney Greeley, CO $ 5,000
RECORDER'S MEMORANDUM
AT THE TIME OF RECORDATION, THIS IN-
STRUMENT WAS FOUND TO FE INADEQUATE
FOR THE BEST PHOTO::-RAPHIC r.[PRODUCTION
BECAUSE OF ILLEGIBILITY, CARBON OR PHOTO
COPY. DItr^,^n" ^•P'k
Signed, sealed and dated ..- December 17, 1980
ST. PAUL FIRE AND MARINE INSURANCE COMPANY
Countersigned: By:
�./ .��.L..LcL�:_.,�`� -/i-=.^-L S.� ._. ( G.C...4._�gL'Z-CZ�.2__ •_._• c_�.._
Adthorized Representative
� Julii A. Evans
242
Mel An.S=•70 Panted M U.S.A. (Over)
Acts Covered The ST. PAUL FIRE AND :'fARINE INSURANCE COMPANY, Surety, in consideration
of the premiumft ""reby agrees to indemnify the Insured na—'4 in the Declarations hereof for
any loss of mono, .,r other property,owned by the Insurec -or which the Insured is legally
liable or held by the Insured in any capacity whether or not the Insured is liable for the loss
thereof,caused by the fraudulent or dishonest acts of any of the Insured's employees while covered
hereunder (excludinghowever,any loss, or that part of any loss,the proof of which either as to
Time For Die- its factual existence or as to its amount, is dependent upon an inventory computation or a profit
_ covery of Loss- and loss computation),provided such loss is discovered not later than twenty-four(24)months after
3 Notice-Claim the termination of this bond in its entirety and reported to the Surety within fifteen (15) days
after discovery. Proof of Loss shall be submitted to the Surety within a reasonable time.
Employees The employees covered,and the effective date and amount of coverage, are as stated in the.
Covered— schedule hereof,or in any schedule or endorsement hereafter agreed upon. Coverage continues un-
Duration—Amount til terminated as herein stipulated,but the amount thereof shall not be cumulative from year to year.
'c Coverage for The Surety's maximum liability for all defaults of any employee covered for separate periods
Separate Periods for different amounts shall be the largest amount of coverage in force during any period in which
such defaults occur and coverage for one period shall not be available for defaults occurring in
ti - any other period.
Automatic This bond automatically covers for the first ninety (90) days of service, any employee
Coverage (a) upon taking a position vacated within the preceding thirty (30) days by an employee then
covered, for the same amount as that employee, or (b) in a newly created position within the
Un$xed States or Canada in the largest amount for which any employee occupying an identical
position is then covered or, if there is no other identical position, for$5,000.00. Recovery under
this section may not be made unless loss is reported to the Surety not later than fifteen(15) days
z after the expiration of the ninety (90) day period, nor if, during the ninety (90) day period the
employee is covered hereunder by schedule or endorsement.
Lose Caused by If evidence reasonably shows a loss was caused by one or more of a group of employees,
r Unidentified identified by their names,while all of them were covered hereunder,and the Insured cannot desig-
.,, rj Employees nate the specific employee(s) who caused the loss, the Surety shall nevertheless pay the loss to an
CO NO amount equal to the largest amount of coverage on any one such employee,not exceeding$5,000.00.
Salvage If any loss exceeds the amount of coverage,the Insured shall be entitled to all recovery on
account of such loss until fully reimbursed.
Termination Coverage terminates on any employee (a) by omission of the employee's name from any
schedule hereafter agreed upon,or by appropriate endorsement,or(b)when the Insured discovers
any fraudulent or dishonest act committed by that employee. This bond in its entirety,or cover-
age on any employee, may be terminated by written notice from the Insured or the Surety to the
other, notice to the Insured to be effective on the 30th day after its receipt. Any unearned
premium, computedpro rata, shall be refunded upon request.
Continuity This bond,subject to its terms,shall also cover any loss not recoverable under any terminated
fidelity suretyship carried by the Insured immediately prior to the inception date of the schedule
hereof or any endorsement hereafter agreed upon solely because the time specified for discovery
of loss has expired, and provided such loss would have been covered under this bond had this
bond been in effect when such loss occurred, but the Surety's liability for any such loss shall not
exceed the amount that would have been recoverable under such fidelity suretyship if it had con-
tinued in force or the amount of coverage specified in the said schedule or any endorsement here-
after agreed upon for such employee if the latter amount be the smaller. The indemnity afforded
by this paragraph shall be a part of and not in addition to the amount of coverage applicable to
such loss or losses under this bond.
When the period allowed for the discovery of loss(es) under another bond or bonds issued
by the Surety to the Insured has not expired at the time of the substitution of the coverage of this
bond for the coverage under such other bond(s), the Surety's liability under this bond and under
such other bond(s) shall not be cumulative.
In witness whereof, the Surety has caused this bond to be executed on the Declarations
Page.
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��� ENDORSEMENT OR RIDER NO.
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`3 The spaces preceded by an asterisk (4')need nut becompl.ted rf this endorsement or rider and the Bond or Policy have the same inception date.
ATTACHED TU AND FORMING PART DATE ENDORSEMENT OR RIDER Fir r ECTIVE DATE OF ENDORSEMENT OR RIDER
OF BOND OH POLICY NO. l EXECUTED
3 12:01 A.M.STANDARD TIME AS
400 FV 7613 I 12/17/80 SPECIFIED IN THE BOND OR POLICY
'ISSUED to C.: :'r
C.
L d In consideration of the premium charged for the attached bond, it is
re reed that the Surety shall not be liable for loss caused by any
employee while covered by said bond unless the amount of such loss
shall exceed the sum of Two hundred fifty and no/100ths
($ 250.00 ) DOLLARS and unless such loss, after deducting
all recoveries made on amount thereof prior to payment of such loss
by the 6urety, shall be in excess of said Two hundred fifty and
no/100ths ($ 250.00 ) DOLLARS and then for
such excess only, not exceeding the amount of coverage applicable to
such employee.
Z
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Deductible Endorsement - Schedule Bonds
:,_ C I ❑ l It this box is a'd,the signature requested below is required.)
E ' ACCIPTI D BY INSUKL'U - By:._ _ Title:
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Nothing herein contained shall be held to vary, alter, waive or extend any of the terms, conditions. provisions, agreements or
limitations of the above mentioned Bond or Policy, other than as above stated.
INSTRUCTIONS: ST. PAUL FIRE AND MARINE INSURANCE COMPANY
The box u to be x'd only if this endorsement or rider is an
accepted form and.
(1)is issued subsequent to issuance of the Bond or Policy.or lJ
(2)the Principal Address of the Insured or Obligee is in Kansas _
and whether the endorsement or rider is attached to the
Bond or Policy at the time of issuance or subsequent By C if Attorney-in e
ct
thereto. Julie A. Evans
11063 Rev. 2-18 Printed in U.S.A.
INSURED
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